OAHPP Update Presentation to ANDSOOHA AGM March 30, 2011
Outline Overview of OAHPP Selection of recent accomplishments and upcoming activities Services available to health units Opportunities for collaboration Your interests: Science agenda and public health nursing Research priorities and link with public health nursing Professional practice priorities and link with public health nursing PHRED functions and support for the foundational standard Ethics committee process
Legislated objects under the Ontario Agency for Health Protection and Promotion Act, 2007 Scientific and technical advice Knowledge, best practices, research Policy development Data development, collection, use and analysis Public health research Professional development and education Laboratory services Bridge infection control and occupational health and safety Enhance the protection and promotion of the health of Ontarians and to contribute to efforts to reduce health inequities 3
Vision We will be an internationally recognized centre of expertise dedicated to protecting and promoting the health of all Ontarians through the application and advancement of science and knowledge. Mission We are accountable to support health-care providers, the public health system and partner ministries in making informed decisions and taking informed action to improve the health and security of all Ontarians, through the transparent and timely provision of credible scientific advice and practical tools. Mandate To provide scientific and technical advice for those working to protect and promote the health of Ontarians.
Values Credible Responsive Relevant Innovative Collaborative Balanced
What we do: 1. Better information for better public health decisions and actions 2. Generate and accelerate application of knowledge for better public health decisions and actions 3. Support the Ontario public health system in its daily business and enhance capacity in emergencies 6
Infectious disease prevention and control OAHPP Public Health Programs Health promotion, chronic disease and injury prevention Public health laboratories Environmental and occupational health OAHPP Cross-cutting Functions Surveillance and epidemiology Emergency management and support Knowledge exchange and communications Professional development and education Partnerships and stakeholder relations OAHPP Corporate Functions Human resources, legal counsel, IT, finance, facilities 7
OAHPP Public Health Program Activities: Public Health Laboratories
OAHPP Lab Renewal Three-year project with five overarching goals: 1. Refine and modernize our laboratory test menus and improve test turnaround times, allowing us to cost-effectively provide more timely, credible and relevant information 2. Transition our laboratories from a data producer to a trusted and respected knowledge producer 3. Allow us to undertake advanced analysis, research and surveillance activities and to innovate 4. Improve our surge capacity so that we can better deal with outbreaks 5. Help us to continue to respond to emerging public health needs.
Lab Renewal Update Improved Effectiveness & Efficiency High Volume Testing (HVT) established- key performance improvements realized Pre-Analytic: Decreased TAT from 2 days to the same day Analytic: Improved TAT in HVT lab 96% samples tested in 2 days compared to 67% before installation of HVT Post-Analytic: Improved service and TAT due to implementation of Autofax; 40% of clients signed on Customer service centre established with: - Extended hours of service 7:15 am to 7:15pm and on-call - Single toll-free number - Immediate access to technical and escalation to medical staff - Outreach and outbreak communication improvements 10
Infectious Disease Surveillance in the 21 st Century Surveillance Activities Genotyping and GIS mapping for infectious pathogens e.g. TB, enteric pathogens, STI Enhanced identification of infectious pathogen transmission Lab becomes a proactive partner in case investigations There s an app for that! 11
Public Health Inspector s Guide to the Principles and Practices of Environmental Microbiology Released in 2010 Focus on the use and interpretation of microbiological lab services to support food outbreak investigations and environmental testing concerns Extensive stakeholder participation (e.g. 36 PHUs, CIPHI, ASPHEO, MOHLTC) 12
OAHPP Public Health Program Activities: Infectious Disease Prevention and Control
Infection Control Response Team (ICRTs) Strategically deployed teams that assess and assist in hospital outbreak management. ICRTs generally perform site visits; however, phone consultation prior to or in place of a site visit may also occur. ICRTs write a standardized report within a given timeline, clearly outlining and providing a rationale for recommendation An ICRT can be activated through one of two mechanisms. A hospital may contact the OAHPP and request outbreak assistance Local Medical Officer of Health (MOH) may ask the Chief Medical Officer of Health (CMOH) to request assistance from the Agency. In each case the Agency will review the request and preliminary data from the hospital and determine the need for an ICRT. 14
Infection Prevention and Control Core Competencies Program Initial set of three modules created in 2007 Program responsibility transferred to OAHPP in 2010 External evaluation and usability testing done on existing models Recommendations received in late fall 2010 Advisory committee created to review and advise on program priorities and content Working group developing new module on Routine Practices with revised format and approach that responds to evaluation results
14 RICNs in Ontario that mirror the LHIN boundaries Regional Infection Control Networks Focus on linkages/education/ support amongst acute care, LTC, public health, primary care, community care, EMS, etc. Work to improve communication and data sharing, increase access to scarce expert resources, alignment of IP&C policies and procedures Transferred to Agency as of July 1, 2010
RICNs: Major Projects 2011 Environmental Cleaning Toolkit PIDAC Best Practice Document released RICNs created toolkit to assist institutions with implementation Continuing to support roll-out via videoconferences and discussion groups Just Clean Your Hands in LTCH Funding approved end of December 2010 Implementing program in condensed time frame Goal to provide on-site support to LTCH to implement the JCYH program and to understand the auditing process
OAHPP Public Health Program Activities: Environmental and Occupational Health
Environmental Assessment Equipment Purchased 19 different environmental assessment instruments and equipment Instruments and equipment will allow PHUs to take a proactive role in the identification and investigation of poor air quality OAHPP will log the results into a province wide information system to identify trends Instruments and equipment: Kept at the Central PHL 81 Resources Rd. Available for use by all PHUs no charge for equipment, but PHUs have to pick up cost of consumables If PHU staff are knowledgeable in use, can borrow, otherwise OAHPP staff may be able to provide field assistance Fact sheets are being prepared and will be posted on OAHPP website Training and workshops will be offered For instrument requests, please contact: Dianne San Juan, Environmental Health Analyst: 647 260-7112 or Dianne.Sanjuan@oahpp.ca Dru Sahai, Environmental Science Specialist: 647 260-7784 or Dru.Sahai@oahpp.ca 19
Workshops Indoor Air Quality Workshop In Partnership with CIPHI 1 central and 3 regional The first one will be held centrally on April 5 at the Western Hotel downtown Toronto, the day before to the Ontario Public Health Convention Location and times of the Regional workshop still to be worked out Risk Communications Workshop Dr. Peter Sandman, renowned expert in risk communication Held February 28 March 2, 2011 20
OAHPP Public Health Program Activities: Health Promotion, Chronic Disease and Injury Prevention
Health Promotion Chronic Disease and Injury Prevention (HPCDIP) Section Scientific and Technical Support Collaboration with our Public Health Partners 22
HPCDIP Team APN OIPRC PTCC THCU 23
Health Promotion, Chronic Disease, Injury Prevention: Sample Activities Population Health Assessment: Ontario Injury Report (OIPRC) Development of 3 Year Research Strategy Grant collaborations Development of tools e.g. Online Health Program Planner and Intervention Mapping Software Unhealthy Living BOD report Mental health and addictions BOD report Repro/Child/Youth Specialist Resource Centres activities Identification of vulnerable or at-risk populations 24
Recent Products 25
Reports In Progress and Upcoming KE events Reports Review of Workplace and Community Interventions for Adults Effects on Physical Activity, Eating Behaviors and BMI Risk Factors for Diabetes Population Interventions for the Prevention of Late Preterm Birth Literature review and synthesis Burden of Disease reports Mental Health and Addictions BOD (2012) Unhealthy Living BOD (2012) Recent and Upcoming KE Events February: Youth Health Excel Ontario: 2-day event on minimum dataset in youth health, in collaboration with Propel Centre for Population Health Impact March: Evidence to Guide Action: 2-day KE event for local tobacco control practitioners, in collaboration with Program Training and Consultation Centre (PTCC) April: Equity workshop and tobacco control panel discussion (TOPHC) Pending: Stakeholder meetings re: Review of Workplace and Community Interventions for Adults (above), intervention mapping, summit on sodium reduction strategies (as partner) 26
Health Equity (OAHPP Cross-Cutting Priority) OAHPP Equity Assessment Tool for Public Health Units Plan to pilot in 2011/12 OAHPP Equity Action Plan Formation of OAHPP Equity Committee Evidence to Guide Action: Smoke-Free Ontario (SFO) KE Forum Presentation of Equity Framework to local tobacco control practitioners TOPHC: Pre-conference session on Social Determinants of Health and Equity April, 2011 27
HPCDIP Priorities for 2011-12: Core Business - 1 Build the Foundation Add capacity to HPCDIP through key hires Build our Partnerships Engage and consult with local public health, ministries, academic partners, others e.g., Reproductive/child/youth health specialist to engage with PH partners Broker engagement to facilitate the flow of knowledge and information between partners Provide best practice advice and support to our public health partners Provide evidence syntheses and reviews in key topic areas Related tools, training and other knowledge products and support Continue momentum in tobacco control implementation support Provide ongoing support for implementation of the recommendations of the SFO Scientific Advisory Committee report and renewal of SFO/New Directions 28
HPCDIP Priorities for 2011-12: Core Business - 2 Deliver key population health reports Mental Health and Addictions and Unhealthy Living Burden of Disease reports, including knowledge brokering with PH partners Complete Ontario Injury Report (with Ontario Injury Prevention Resource Centre) Build HPCDIP research capacity and expertise Complete key hires Senior scientist, scientist, research assistants Develop and Implement 3-Year (2011-14) HPCDIP Research Strategy, focused on intervention, capacity building and equity-related research Support a limited number of partner-relevant research initiatives & analytical studies Evaluate the capacity-building functions of OAHPP Health Promotion Resource Centres Alcohol Policy Network, Ontario Injury Prevention Resource Centre (OIRPC) THCU and Program training and Consultation Center (PTCC) 29
HPCDIP Priorities for 2011-12: Core Business - 3 Transition The Health Communication Unit (THCU) functions to OAHPP Continue the provision of health promotion field support in the areas of health promotion program planning, policy change, health communication, evaluation and sustainability Continue the expansion and refinement of Online Health Program Planner and Intervention Mapping Software Training and professional development Continue to build training and professional development opportunities within HPCDIP Continue student practicum and community medicine resident programs 30
Collaboration and Engagement with Public Health Nursing Support the RNAO Public Health Nursing Education Workgroup in planning professional development for nurses Support the CIHR-PHSI Grant Application for Nursing Leadership Development Participate on the Review Panel RNAO Best Practice Guideline Primary Prevention of Obesity in Children Discussion Paper dissemination and engagement by Reproductive, Child and Youth Health Specialist to identify priority needs for data and information, knowledge, and support 31
OAHPP supports ANDSOOHA s mission to promote excellence in public health nursing administration and practice in partnership. Research support (e.g. initiating research, connecting academic leaders to practice, supporting implementation evaluation) Surveillance expertise (e.g. analyses of related data) Literature, system and policy reviews and analyses Training support (for example, in partnership with Resource Centres) 32
OAHPP Activities from the Cross-Cutting Functions
Responsiveness to Current Issues Over the summer there were parental concerns about WIFI in schools On Sept. 16, 2010, the Ontario Agency for Health Protection and Promotion (OAHPP) released an evidence-based, scientific review about wireless Internet technology (Wi-Fi) and its health outcomes. Our review was submitted to the Chief Medical Officer of Health and made public. 34
Report released by OAHPP and ICES December 2010 Most comprehensive review of the burden of infectious disease in Ontario to date Reviews data on 51 different infectious diseases to determine their impact on the life and health of Ontarians 10 most burdensome infectious diseases in Ontario Nearly 5,000 Ontarians die from infectious diseases every year Visit www.oahpp.ca for report
Collaboration The Ontario Health Study (OHS) will enrol thousands of Ontarians to examine over decades the impacts of genetic susceptibility, environment, social and other factors on population health outcomes. OAHPP is one of many organizations participating in the study, including Cancer Care Ontario, the Ontario Institute for Cancer Research, the Canadian Partnership against Cancer and the Canadian Cancer Society. 36
New Program Model For Supporting Applied Research and Program Evaluation, Education and Professional Development, and Knowledge Exchange 37
Opportunities to Participate in the Program Design and Implementation Library Services Contribute to the design and completion of an environmental scan Participate in a working group that helps shape the shared library services partnership model Join the shared library services partnership as a service provider Knowledge Exchange Support Provide OPHA and alpha, who will be coordinating and playing a leading role in the planning of the public health web-based platform, with your needs, priorities, and ideas Identify mechanisms for sharing best practices Locally Driven Collaborative Projects Participate in a working group to help develop a framework for identifying themes, tools and processes Attend collaboration sessions Submit an application with a team of colleagues from different organizations Ethics Support Participate in a focus group to identify ethics support needs Participate in a working group to help guide the development of ethics tools and resources One-year secondment to assist in implementation of the ethics services Student Education and Preceptor Support Identify needs related to student placements and preceptor support Provide lessons learned and resources from own health unit Participate in the information and networking activities (e.g. join the community of practice)
TOPHC Joint Convention April 5-8, 2011 Toronto Inaugural event co-hosted in partnership between OAHPP, alpha, OHPA Theme: Exchanging evidence, ideas and technology Signature convention for advancing public health in Ontario Focus on training and skills development, opportunities for collaboration, networking, and the sharing of the latest scientific knowledge and best practices 3 rd annual Sheela Basrur Centre Symposium to be held conjointly Professional associations meetings in advance of convention All front-line public health professionals, such as health promoters, epidemiologists, public health nurses, physicians, researchers, policymakers and other groups invited to register Visit www.tophc.ca for more information and to register
OAHPP Rounds: Every Other Tuesday
Stay informed www.oahpp.ca OAHPP Bulletin Sign up send an email to info@oahpp.ca
Opportunities for Collaboration How can OAHPP be responsive to your Health Unit? Your priorities and preferred means of interaction What could OAHPP contribute to the implementation and renewal of the Ontario Public Health Standards? What kind of partnerships do you see developing between OAHPP and public health units/professionals? Best ways to engage?